MRS. TAYLER SUZANNE KOPPERUD RCS RVS NPI 1548811037

NPI Information

NPI: 1548811037
Provider Name: MRS. TAYLER SUZANNE KOPPERUD, RCS, RVS
Classification: Specialist/Technologist Cardiovascular - 246XS1301X
Entity Type: Individual

Specialization: Sonography

Address:
4959 PALO VERDE ST STE 208C-4
MONTCLAIR, CA
ZIP 91763
Phone: (909) 675-7362
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MRS. Tayler Suzanne Kopperud, RCS, RVS is a sonography specialist technologist cardiovascular in Montclair, CA. MRS. Tayler Suzanne Kopperud, RCS, RVS NPI is 1548811037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4959 PALO VERDE ST STE 208C-4
MONTCLAIR, CA
ZIP 91763-360
Phone: (909) 675-7362

The enumeration date for this NPI number is 9/25/2019 and was last updated on 5/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246XC2903X	Specialist/Technologist Cardiovascular	Vascular Specialist	00868169	CALIFORNIA	No
2	246XS1301X	Specialist/Technologist Cardiovascular	Sonography	00868169	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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